Tuesday, September 4, 2012

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Most of us know about personel and group health assurance plans. A few more of us have learned about indemnity plans. But in the words of Gomer Pyle who often exclaimed, "Surprise, Surprise, Surprise" other options exist in the health assurance market that are mostly unknown because they are non-traditional types of insurance. Now that healthcare costs are soaring, consumers are finding for ways to cut their health assurance costs without skimping on coverage. In this narrative we will take a look at two types of assurance products that may fit your healthcare needs.

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Healthcare Cooperatives

Healthcare cooperatives are comprised of individuals, families and organizations seeking to find affordable healthcare straight through the act of cooperation with other such entities. While this seems like a new concept, cooperatives are well based on the original installation of health insurance. Members are expensed a participation fee to be in the cooperative and in turn, those funds are used to pay claims. Other groups are invited to partake in the same coop. The largest coop in existence right now is HealthPartners, Inc.

The benefits of cooperatives are many. First of all, premiums are anywhere from 20 - 50% less than comparable original health plans, with no deductibles. Secondly, cooperatives are a lifeline to the local business community by retention the cost of designate drugs reasonably priced and enabling community owned non-profit hospitals to remain independent. The larger the cooperative, the more negotiating power it has to parley designate drug prices as well as healing products. And finally, coops are increasingly effective in enhancing the quality of home-based healthcare as well as assisted living alternatives by providing educational services as part of their negotiation process with the assurance companies.

Individuals, chambers of business and small to midsize businesses that choose cooperative healthcare are the ones most likely to benefit from this type of non-traditional health assurance procedure because of the lower rates, total benefits ready and no grouping regulations. Other groups that benefit contain seniors, low-income residents and the uninsured that have conditions that are not covered by MediCare or MedicAid. Texas clubs that quote and sell cooperative plans are Aetna, Blue Cross and Blue Shield, Unicare, Humana and United Healthcare.

Association Plans

Individuals that are members of an existing association are eligible to partake in an association plan. But what constitutes an association? Legally, an association is "any group of citizen who have joined together for a particular purpose, ranging from collective to business, and usually meant to be a lasting organization. However, it is foremost to be in yielding with your state's regulations for what qualifies as an association. Here in Texas, the definition of an association is listed in Hipaa 1996, section 2791: a bona fide association must meet the following characteristics:
It must be formed for a purpose other than insurance The members' health status may not be a health for membership assurance must be ready for all members of the association and no coverage may be given to non-members, together with affiliate members that may join an association for the purpose of obtaining health insurance It must meet "any additional requirements that may be imposed under state law," together with having existed for two full years as an association prior to applying for the plan.
Under this definition many organizations qualify as an association also businesses. These entities may contain labor and reputation unions; professional, alumni, homeowners' and trade associations; and lodges. Individuals that benefit the most from this type of plan are those that have been denied coverage for a lasting healing condition, such as diabetes or rheumatoid arthritis.

Underwriters rate the members of the association individually on a per household membership. Those individuals that are a higher risk medically will pay a higher selected than individuals that have clean health histories. They differ from group policies in that way. But all members are guaranteed acceptance on the plan and guaranteed renewal each following year.

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